Thursday, April 5, 2012

abdominal examintion

assalamualaikum.. mari kita semua belajar malam nie..

general examination:
conscious, alert, in pain?
hand: flapping tremor, koilonychia, leuchonychia, clubbing, palmar erythema, any contractures
arm: bruise, strach mark, spider naevi
eye: jaundice, pallor
mouth: breath, lip (angular stomatitis, ulceration, pigmentation), gum (bleeding, gingivitis, pigmentation), tongue (coated, glossitis, ulceration)
lymph node: especially cervical and left supraclavicular LN
chest: gynaecomastia, spider naevi, loss of axillary hair
groin: hernial orifice, testes (oedema), LN
leg: oedema, bruising

ok, tu jer laa, aku malas nak type abdominal examintaion, sebab basically sama jer macam yang selalu buat... yang bold tu things that student usually forget

note from dr : you must show us you specially looking to stigmata of liver disease!!!, when there is hepatomegaly, you must measure JVP to exclude congestive cardiac failure, and know the reason of everything you mention :D

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